Dr Susan A Vaughan, OD is a medicare enrolled "Optometrist" provider in Colcord, Oklahoma. She graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Optometry. Her current practice location is
820 Stateline Rd, Colcord, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 422-5811.
Dr Susan A Vaughan is licensed to practice in Oklahoma (license number 2026) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124065479.
Healthcare Provider's Profile
| Full Name | Dr Susan A Vaughan |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 34 Years |
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| Location | 820 Stateline Rd, Colcord, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Susan A Vaughan graduated from medical school in 1990
NPI Data:
- NPI Number: 1124065479
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 10/20/2014
Medicare PECOS Information:
- PECOS PAC ID: 7810993920
- Enrollment ID: I20061012000665
Medical Identifiers
Medical identifiers for Dr Susan A Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124065479 | NPI | - | NPPES |
| 100764550A | Medicaid | OK | |
| 117841722 | Medicaid | AR | |
| 6928350001 | Other | OK | CIGNA GOVERNEMENT SERVICES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2026 (Oklahoma) | Primary |
| 152W00000X | Optometrist | 2405 (Arkansas) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Susan A Vaughan allows following entities to bill medicare on her behalf.
| Provider Name | My Family Eyecare Ltd Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1487958492
PECOS PAC ID: 1759518103
Enrollment ID: O20150306001810 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Susan A Vaughan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Susan A Vaughan, OD
820 Stateline Rd,
Colcord, OK 74338-1348
Ph: () - | Dr Susan A Vaughan, OD
820 Stateline Rd,
Colcord, OK 74338-1348
Ph: (918) 422-5811 |
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